HomeMy WebLinkAboutStreet Cut Permits 125 Diane Drive 1700228 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
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DATE: 10/31/2017
GIS ID:28200125 N FEE: 50.00
MUNIS APPLICATION# 201701560 r.
EXPIRATION DATE:
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APPLICAN .s y 1 ,.,y Yy y LOCATION
NAME: EVERSOURCE q I2D1'ANE DRIVE
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ADDRESS: 112 PROSPECT HILII�( D' 3 = OtN>wRt �AiGtJACK W&MARILEE R
EAST WINDSOR,ClbG(}$S T 1x5 Y'IANE DRIVE
u SOtTTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: INSVRPSTIALItEADT'kNTE)?L PIPE WORKING
FRO !Vl&TI jRS T IQN;TO k R�ONT QkT�LFT CJ E �7
APPLICANT AGREES TO FURNISH TH #OWN Of SOUy,-R1�I1*�I?SOQ�THE'AIvIO ITkQ ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ATVI EXPENSES INCj7RRI1Y THE 3' W1T FORVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC API'I,ICANT.I& M,ILTAR Vl?[.TYIABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN�F SOFJTH WIIVDSQI'S TRi# T GU`F PI1fMIT MANUAL.
ISSUED BY DA E` SPECTED INSPE CtEMD BY
10/31/2017 3:33 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1*7 C4,4,q CONTRACTOR: UZ4_50 or _
LOCATION: 1
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TYPE OF WORK: i Pry Invo
DATE INSP NEEDED: DATE INSP: 1
INSPECTED BY: �P
WORK IN
PROGRESS: , v ,,Li " c
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SEPTIC TANK PUMPED, SMASHED, FILLED----,-WITNESSED ❑YES [] NO
AS-BUILT;
INPUT: DATE: 1-1 1!9
S/molloy/forms 2014 Town or south Windsor INPSECRON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
LAU V� �Q�4 TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 � �,
►'Name of Firms Phone No.
Address of Firm v Zip Code 00
Laoation of proposed work 1 R5 10) i
Descnb fully nature of per it requested V l rl
i L'00 c,t
Starting date ID 5 1 l-7 ali Before You Dig No v t
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut A Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No. cuts
Est.Patch Size(s) sf
0-If
-I f Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ Ift
Est.Curb Cost$
( 4, Est. Sidewalk Replacement sf
st. Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
17 Est.Traffic Hours hr
il Est.Traffic Unit Cost$ /hr
{
Est.Traffic Control$
l Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the roperty line per Total Due$
section 2.17 of the zoning regulations -
O Cash O Check#
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TCWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
j WINDSOR'S ST T PERMIT MANUAL.
Signed: Print Name All Date:
Engineering/p rmi /Str t Excavation Permit 2017
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The material contained on this map Title-
shall be considered proprietary to '
Eversource Energy_and user which is
defined as any person or entity F \ice! (/►
who has received the map through EVERS-URGE
sale,has received
exchange,gift, or Information shown is not guaranteed and Eversource Energy +
otherwise)shall keep it in confidence assumes no responsibility. Contractors are urged to colt and shall not furnish or disclose it Eversource Energy for further information at 1-800-989-0900 ENERGY
L. fey third party without the prior
written permission of Eversouce Energy. Plotted:19-Oct-2011 By:ginawrt